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/ <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> ` Date Received � � Phone Contact for Permitting ��7 �� — l <br /> ➢ <br /> IOwner's Name (��,� s Owner Phone Number 0�7 d' <br /> Owner's Address � �70�� ��� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � 1� LOT# � <br /> SUBDIVISION PARCEL ID# �I '��� �p�� � ��V� 1 (7�� T� <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED • e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> � PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONS7RUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK V G LI.� e <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ' ;) 1 <br /> �� � <br /> ���MECHANICAL $� �jt� VALUATION OF MECHANICAL INSTALLATION � <br /> �� <br /> S�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />' Address License# <br /> MECHANICAL COMPANY QFr ��1 'I <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N ' <br /> Address �� �, ��4 7�V�icense# ���� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED , Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllltll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sei of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized � <br /> � If over$2500,a Nottce of Commencement is required. (A/C upgrades over$7500) <br /> i <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> , OVER THE COUNTER PERMpTT1NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> � Driveways-Not over Counter if on public roadways..needs ROW " <br /> � <br />